• Title/Summary/Keyword: Dental esthetic

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Simultaneous Hard Tissue and Soft Tissue Graft with Dental Implant Placement and Provisionalization: A Case Report

  • Hyunjae Kim;Young-Dan Cho;Sungtae Kim
    • Journal of Korean Dental Science
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    • v.17 no.2
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    • pp.84-91
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    • 2024
  • Achieving both esthetic and functional implant rehabilitation is crucial for the successful treatment of the anterior maxilla. Adequate peri-implant alveolar bone and soft tissue are essential for optimal rehabilitation of the esthetic area, and there is a direct association between the implant position and prosthetic outcomes. Immediate provisionalization may also be advantageous when combined with augmentation. This case report described the implant placement in a 25-year-old female patient who had lost her right maxillary lateral incisor (#12) due to trauma-induced avulsion. The treatment involved simultaneous grafting and collagenated, deproteinized bovine bone mineral, along with subepithelial connective tissue taken from the right maxillary tuberosity. A polyetheretherketone abutment and non-functional immediate provisionalization were performed by removing both the proximal and occlusal contacts on the composite resin crown. Clinical and radiographic evaluations revealed maintenance of stable ridge contour aspects for six months following surgical treatment. In summary, implant rehabilitation in the esthetic zone can be successful using simultaneous soft and hard tissue grafts. Moreover, soft tissue stabilization post-subepithelial connective tissue grafting can be achieved through early or immediate visualization, along with immediate implant placement.

Esthetic Realignment of Periodontally Compromised Anterior Teeth (치주질환으로 인한 전치부 정출(Extrusion)의 심미적 수복에 관한 증례)

  • Choi, Won-Seok
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.60-63
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    • 1999
  • Dental clinicians commonly encounter extrusion of the anterior teeth due to localized alveolar bone loss in adult patients with chronic periodontitis. This pathologic migration of the anterior not only may cause loss of functional anterior guidance and continuous periodontal destruction, but also can lead to esthetic disaster. In fact, most frequently reported chief complaint of the patients with extruded anterior teeth is the 'loss of esthetics', not the periodontal problem itself. The utilization of the expertise and skills in the various dental disciplines is thought to be the best treatment modality for the ultimate functional and esthetic attainment. Interdisciplinary therapy, involving periodontics, orthodontics, and restorative dentistry, was performed for the highest levels of patient and provider satisfaction in this case.

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Restoration of anterior teeth with dental implant using multilayer zirconia (다층 지르코니아를 이용한 임플란트 전치부 수복 증례)

  • Lee, Sunghee;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kwon, Kung-Rock;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.469-477
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    • 2021
  • For successful restoration of maxillary anterior implants, both pink esthetics and white esthetics must be satisfied. For pink esthetic part, the role of appropriate provisional prosthesis restoration is important, and for white esthetic part, the color and shape of the definitive prosthesis is important. Multilayer zirconia can be used for natural tooth appearance due to the higher transparency of the incisal area compared to the conventional monolithic zirconia. Therefore, in this case, white esthetic part was achieved through multilayer zirconia after recovering function and esthetics through appropriate provisional prosthesis in a patient who lost the maxillary anterior teeth.

3 keys for successive direct esthetic restoration (성공적 직접 심미 수복을 위한 3가지 열쇠)

  • Cho, Sang Ho
    • The Journal of the Korean dental association
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    • v.54 no.1
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    • pp.16-20
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    • 2016
  • There is a difficulty for many practioner in anterior direct restroation with composit resin. Because its result is various according to patient, a practioner have a fear about that unpromisable result. Moreover in esthetic region, there is difference in satisfaction by patient character. That is one of difficulty in this practice. But if we make a manual for parctice it will be easier. So I will summarize the process and things to note in direct anterior composite resin restoration.

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임상가를 위한 특집 1 - Comprehensive approach with implant

  • Lee, Dong-Hyun
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.586-594
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    • 2013
  • The critical factors affecting the esthetics of anterior implants can be summarized as following: 1) Correct positioning of implant fixture 2) Enough amount of alveolar bone 3) Optimum volume of soft tissue. The position of implant is probably the most important factor in obtaining esthetic treatment outcome. The 3-dimensional orientation of implant is determined by the position on the alveolar ridge and its direction. Clinicians often try to mimic natural teeth when fabricating restorations. During the course of esthetic diagnosis and treatment, however, one should not forget to consider the correlation between facial pattern, lips, gingiva, alveolar ridge, as well as remaining dentition. Since anterior region is biologically unfavorable when compared with posterior region, one minor discrepancy in positioning of implant can cause esthetically undesirable treatment outcome. If one understands the biological and prosthetic meaning of implant's 3-dimensional position, he or she can achieve superior esthetic outcome in anterior region.

Mandibular Angle Management for Improving the Esthetic Result of Orthognathic Surgery (임상가를 위한 특집 3 - 악교정 수술과 함께하는 mandibular angle management)

  • Han, Se-Jin
    • The Journal of the Korean dental association
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    • v.50 no.11
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    • pp.677-681
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    • 2012
  • Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don't only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan. Patients with prominent mandibular angle want to have the narrower face of so called 'V-line' shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time. We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.